Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyler Delaurentis

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013617323

Tyler Delaurentis is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Boston, MA

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN10000308 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013617323
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 6, 2023
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024

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